Social Work Narrative Essay

Combat veterans are among the highest at risk for issues in transitioning form military life to civilian. Many potentially suffer from both physical and/or mental traumas. Many veterans and even active duty services members have allowed the unofficial culture of if you need mental or medical help you are weak. Many military families are also afraid of utilizing family support mechanisms out of fear of

With a master 's level education in social work, I see myself envisioning clients’ health and well-being. As a student, I will study and practice techniques, beyond a generalist perspective, that will allow me to give clients hope and the ability to see something greater than what they are facing. Upon completion of a Master of Social Work direct practice degree and certificates in gerontology and mental health programs, I intend to become a licensed Clinical Social Worker (LCSW). As a Licensed Clinical Social Worker, I will competently incorporate specialized skills in different professional settings while developing my knowledge of a wide range of social issues and professional standards. With commitment, I wish to develop skills that will enable me to create or find hidden resources and services for my future clients, create platforms through counselling for victims of trauma.

There is a common belief that many combat veterans are suffering; many from invisible wounds that affect them in many ways. The challenge that the VA and other government agencies face is determining which veterans need help, there are several factors that affect this, from the individual’s desire to accept help, to the stigma that most veterans have accepted, which is “if they ask for help, they are weak.” During separation from the military it is a critical time for all soldiers, this time provides an opportunity for the military, the VA and our government to intercede and work with men and women while they are still soldiers. Veteran suicide is an epidemic, the number of veterans taking their life daily has been steadily growing, the statistic published by the VA is that twenty-two veterans end their lives every day (Suicide Data Report, 2012); steps have been taken to curb this number but the efforts have been woefully inadequate.

Both articles identify the issue of providing mental health services for veterans with an extra emphasis on those that served in Afghanistan and Iraq (OEF/OIF veterans). It is no surprise that returning veterans suffer from both visible/invisible (physical and mental) wounds. Most veterans have this “high” expectation that they are going to receive quality care from both the DoD and VA. Unfortunately reality steps in where veterans are slapped in the face because they are receiving a lack of poor quality care all while jumping through Beuracractic hoops. The challenges faced to access these services include resistance, stigma, lack of professionalism, and geographic and/or regional disparities in the distribution of services resources and/or benefits, and the system simply refusing to change.

“The Veterans Health Administration (VHA) is home to the United States’ largest integrated health care system” (Mason e.t. al 2016). Because of technological and medical advancement, surviving injuries from war has lead to a greater need for post deployment and discharge care. I often hear the phrase “Freedom is not free”; the mental health of our active duty soldiers and veterans is one area that ends up costing America. Some lose time with their families, some are injured physically and mentally, and some lose their lives.

Veterans are everywhere throughout the United States, but just because they are everywhere, doesn’t meant they are getting the proper care. According to the Iraq and Afghanistan veterans of America, “One in three veterans return home and suffer from some sort of mental health issue.” Their mental health issues vary from post traumatic stress disorder to anxiety and depression. The switch from fighting everyday to being home is tough for the veterans and they need to receive the proper treatment so they can possibly live a life as normal as possible. The state Department of Mental Health and Addiction Services, started a $810,000 program to support these veterans with their issues returning home. The transition is hard, not

There are several barriers to rural veterans receiving quality of care. These include the rural and military stigma against mental health services, the insufficient timeliness of receiving care, the lack of skilled professionals in positions to serve veterans, and the tangible challenge of access to care. These barriers cause many veterans to not receive services at all. At best, it causes major hindrances for rural veterans resulting in sporadic treatment, low quality of care (Buzza, et al., 2011) and financial concerns (Gayle & Heady, 2011).

Client reported his willingness to seek psychiatric help through the VA. Client is open to receiving MH services that can help him find better coping strageties and to address his PTSD.

Ms. Apple is a 45 year old African American woman who has been a widow for about 4 years. Ms. Apple has three children, whose ages range from 5-12 years old. Ms. Apple has been struggling to keep her family afloat since the death of her husband. Ms. Apple convinced herself that she would not require the extra assistance. However, she realized in attempting to provide alone has not only become very strenuous, but also quite costly. Expenses have become overwhelming for Ms. Apple to maintain, since her husband took care of the finances and was the breadwinner for the family. Ms. Apple has minimal education as she is able to read and write at grade school level. Ms. Apple also has never been employed as she was a home maker. At this

How do you account for your interest in social work? In your response, discuss paid or volunteer experiences that support your choice of social work as a profession?

Narrative therapy is a way to look at a person’s life story and their struggles from an outside looking in approach. The problems become separate from the individual. Narrative therapy helps the client examine their life story from a strengths perspective. Instead of focusing on the problems the worker helps the client identify their strengths and skills. Individuals also identify the functional aspects of their life. When the client can think about how their struggles have effected their lives, the client is then able to identify what in their life is valuable and important as a whole. When the client can identify a connection to how their choices have had positive and negative consequences and actions they can start to understand the cause and effects of their actions. The role of therapist is to facilitate the client in creating a narrative for the next chapter of their life. It is by these reflective processes the client can focus on the strengths, values, skills and the positive aspects of their lives.

SM reported that currently he does not have a job but noted that since being placed on TDRL he has had 5 different jobs and explained that while in social situations including while on the job he has had panic attacks or becomes extremely anxious which has made it difficult for him to function in the job environment. He stated, "The jobs haven't worked out mainly because of my PTSD." He reported that beginning in January of 2016 he had a job for a company called the USMC construction as a construction worker, that he reports that lasted approximately 180 days until about April of that year. SM related that at the time that he was having a lot of nightmares and unable to get good sleep. He also reported while on the job having flashbacks and

This week the client I worked with is First Step Home of Cincinnati. The agency’s primary focus of supports is for pregnant women and women with children in need of substance about treatment. They offer treatment programs and counseling to address substance disorders. When the women successfully complete the treatment program they are able to transition into the sober housing program where they receive wrap around services which includes ongoing treatment and counseling. Aside from counseling and affordable sober housing, the women in the program also receive parenting classes, vocational education and training. The program offers to the women with children onsite day care for their children, at no cost, so that the mothers can participate

John, age three illustrates tremors and cries uncontrollable. John look as if he is not speaking as he should for his age. His vocabulary is very limited as if he is behind for his age. He is at this time not walking on the level that he should be. John lived with both of his biological parents. In addition, John has not had much structure in his life because he did not have many rules to abide by. Due to the lack of structure, John did not have a set routine of what time to go to bed and he could wonder the house freely. John’s father has had several job. In addition, John’s father also stays out late at night, selling drugs and manufacturing methamphetamines within the home. Even though John’s father sold drugs, there is no reports on him using drugs. In addition, manufacturing drugs in the home may have lead John to be exposed to drugs, which can have an effect on the child’s development. Due to Johns father’s actions, he was arrested leaving John not having a father figure in his life.

David has protective and risk factors in his life. One of David’s protective factors are that he is in a good stable marriage. Also, he has seen upward mobility in his employment and had adequate income, even though he could always use more. David has had high aspirations for himself professionally and had earned a Master’s degree.